Preconception Screening by Naturopath Sage King

What’s your Fertility Plan and do you need preconception screening?

Welcome to this free 6-part article series designed to help you determine your fertility plan and understand the steps you can take to optimise your fertility outcomes. Below you’ll find Part 2 – “Do You Need Preconception Screening?” If you’ve already read article 1 feel welcome to skip this intro and get stuck into part 2 below. If this is, however, your first time finding out about this series – please read on to learn what it’s about, how it can help you and what to expect over the coming weeks.

Over this free 6 week article series we are going to discuss all potential options for those of you who are:

  • single, 
  • in same-sex relationships, 
  • are gender non-conforming, 
  • or are in a heterosexual relationship.

In these articles I will address information around:

  • trying to conceive, 
  • options if you have been struggling to conceive, 
  • considerations for those of you thinking about IVF, 
  • considerations for those of you currently undergoing IVF treatment,
  • how beneficial naturopathy can be in optimising your fertility outcomes.

Opportunity to Ask Me Questions – LIVE

After each article release, you have the option to submit any questions you may have by 7pm Monday evening to the Create A Fertile Life Facebook group. If you’ve not yet joined that private group you are welcome to go there and request to join.

If you wish to submit your questions anonymously, you can private message the Fertile Ground Health Group Facebook page and admin will forward them to me. 

Each Tuesday, I will be answering your questions live in this Create a Fertile Life Facebook group at 7pm AEDT, so we can all learn from each other.

Your Fertility Plan

Now, some of you may know exactly what your plan is, others may not have thought about it so concisely yet. Whatever stage you are at, I want you to provide you with the tools to determine what your fertility plan can look like and how you can optimise your outcomes with Naturopathy. Grab a pen and a piece of paper, or type in to a document on your phone/computer so that you can create the skeleton of the items that relate to YOUR individual journey and we will build on this each week over the 6 weeks of this series. 

I am excited to be on this journey with you. If you’ve already registered for the whole free package, take a sneak peek at part two below and check your inbox for the arrival of your full comprehensive article for this week (week 2).

If you’re just finding this free series now and would like access from part 1 all the way to part 6 – simply register here for your free access to the whole package.

Part Two: Do You Need Preconception Screening?

Before we jump in to preconception screening, it’s important to understand what your optimal preconception window is, why it’s important, what medical preconception screenings are available to you, and how naturopathic clinical assessments and further pathology investigations provide us with key information to tailor your treatment plan to complement your fertility journey. 


Your Optimal Preconception Window

As we touched on last week, the optimal preconception window for both egg and sperm quality is approximately 3-4 months. This is because although individuals assigned female at birth are born with the basic cells that will eventually form their eggs, these follicles do not contain eggs ready for fertilisation. In order to develop eggs required for fertilisation, they must go through what’s known as ‘maturation’ and this process takes approximately 100 days. So the egg released during ovulation each month actually started maturing 3-4 months ago! (The American College of Obstetricians and Gynecologists Committee on Gynecologic Practice, 2014; Fertility Society of Australia, 2018). This means that given 3-4 months of tailored preconception care, you can positively influence the health and development of your ovaries, follicles, and the eggs maturing and growing inside. 

Similarly, when it comes to sperm health, preconception screening and care is just as important as egg quality. Sperm also undergo a process of development ready for ejaculation, and take nearly 90 days to be produced from scratch to the time they are ejaculated. So the sperm trying to fertilise an egg this month was already being produced 3 months ago! (Rowley, et al., 1970)

But what if time is not on my side?

For many of my patients, time is of the essence with their fertility plan; due to age, their partner’s age, and if they’re about to/are already undertaking IVF. Time considerations will also vary for individuals wishing to freeze their eggs due to egg freezing not being recommended for individuals older than 38 years of age. If this is you, in these circumstances, I still recommend preconception screening so we can use this information to tailor a treatment protocol to complement any stage of your fertility journey. By implementing key dietary, lifestyle, nutritional, and (where indicated) herbal medicine interventions, I can support you at any stage of your fertility journey. However, if time is not on your side and/or you are currently undergoing IVF, our treatment protocol aims to support your egg quality & endometrial receptivity in the background so that should you be unsuccessful, we have begun to positively influence your egg and sperm quality throughout this window putting you in a better position than before.   


Preconception Screening and Your Health Team

It can be really overwhelming knowing where to start with preparing to conceive. Some of my patients come to their initial consultation with blood test results referred by their GP for general health, nutritional status, immunological markers, cervical screening, and sexually transmitted disease (STD) screening. If their fertility specialist has referred them for further testing, I review these test results too. 

While it requires some organisation and commitment, pathology testing provides us with very important data about your health status. If you have already had preconception testing performed, how long ago did you have them conducted?

Want to keep reading? Sign up to get instant free access to Sage’s preconception article series and find out about the intricacies of your menstrual cycle, sperm donor considerations, intercourse, conception, egg quality, egg carrying considerations, assisted reproductive technology, home insemination, the answers to your questions and more.

Written by Fertile Ground fertility Naturopath, Sage King.